Nursing home
River Ridge Rehabilitation and Nursing
1415 Yellowstone River Rd, Billings, MT 59105 · Map
For profit - Limited Liability company · Part of The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers (18 facilities) · 129 certified beds
River Ridge Rehabilitation and Nursing is a Medicare-certified nursing home in Billings, Montana. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on Nov 7, 2024 cited 29 deficiencies.
- 4 fines totaling $80,893In CMS records: 4 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Ridge Rehabilitation and Nursing compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.25 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.94 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 56.3% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 29.0 | 11.3 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 15, 2026 inspection was corrected by February 14, 2026
Penalties in CMS records: 4 fines totaling $80,893, 4 total penalties.
What inspectors found at River Ridge Rehabilitation and Nursing
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 15, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 27, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1415 Yellowstone River Rd
Billings, MT 59105 - CMS certification #
- 275123
- Ownership
- For profit - Limited Liability company
- Certified beds
- 129
- Avg residents/day
- 82.8
- Provider type
- Medicare and Medicaid
- First certified
- 1988-04-01
- Chain
- The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers (18 facilities)
- Setting
- Urban
Part of The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers operates 18 nursing facilities across the United States. View all The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Ridge Rehabilitation and Nursing using Google Maps.
Other public records
- Website says Respite stays, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What River Ridge Rehabilitation and Nursing says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
3 to 5 day Respite Services
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Apartment types named: private room.
Our private suites give you the roominess and comfort to help feel at home.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Billings Clinic Hospital, Billings. 3.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Billings Rehabilitation and Nursing LLC, Billings. 3.8 miles away, straight line.
- Nearest home health agency office
- Riverstone Health, Billings. 3.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59105 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Billings Clinic Dialysis, Billings, 3.4 miles away, straight line (CMS rating 2 of 5 stars)
Dci Big Sky, Billings, 9.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 59105.
Riverstone Health, office in Billings, 3.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
St Johns United Hospice, office in Billings, 3.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Compassus Hospice Billings, office in Billings, 3.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 3.7 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding very low, wildfire very low, tornado very low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is River Ridge Rehabilitation and Nursing a good nursing home?
CMS gives River Ridge Rehabilitation and Nursing an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Ridge Rehabilitation and Nursing staffed?
River Ridge Rehabilitation and Nursing reports 3.25 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has River Ridge Rehabilitation and Nursing had inspection problems?
Its most recent CMS inspection cited 29 deficiencies.
How many beds does River Ridge Rehabilitation and Nursing have?
River Ridge Rehabilitation and Nursing is certified for 129 beds.